Successful vascularized jejunal patch graft to treat severe orad duodenal injury secondary to foreign body obstruction in a dog

• Published in: Veterinary surgery Vol. 48; no. 7; pp. 1338 - 1343
• Main Authors: Putterman, Allison B., Trumpatori, Brian, Mathews, Kyle G.
• Format: Journal Article
• Language: English
• Published: Hoboken, USA John Wiley & Sons, Inc 01-10-2019; Blackwell Publishing Ltd
• Subjects: Anastomosis; Anastomosis, Surgical - veterinary; Animals; Blood vessels; Complications; Dogs; Duodenum - injuries; Duodenum - surgery; Foreign Bodies - pathology; Foreign Bodies - surgery; Foreign Bodies - veterinary; Free Tissue Flaps - veterinary; Grafting; Injuries; Intestinal Diseases - etiology; Intestinal Diseases - surgery; Intestinal Diseases - veterinary; Intestine; Jejunum; Jejunum - surgery; Male; Papillae; Perforation; Regurgitation; Vomiting
• ISSN: 0161-3499; 1532-950X
• DOI: 10.1111/vsu.13174

Objective
To report the surgical treatment and outcome of an adult dog with a duodenal perforation treated with a vascularized jejunal patch graft.
Study design
Case report.
Animal
A 1‐year‐old castrated male boxer dog.
Methods
Damage to a duodenal segment containing the major and minor papillae was repaired with a vascularized jejunal graft. A segment of healthy jejunum was mobilized maintaining the jejunal vessels, and a donor site anastomosis was performed. The vascularized jejunal graft was incised on the antimesenteric border creating a rectangular segment, which was trimmed and sutured to the duodenal recipient site as a patch graft to repair the defect.
Results
The dog recovered well without major complications. Within 2 weeks, appetite and bowel movements were normal, with no episodes of vomiting. Infrequent regurgitation resolved without medical therapy.
Conclusion
A vascularized jejunal patch graft is a feasible option for successful surgical repair of duodenal injury in the dog.
Clinical significance
This report describes a novel surgical repair technique for treatment of gastrointestinal injuries.